Provider Demographics
NPI:1003225541
Name:ATUMAH, NICHOLAS CHINONSO (RN,BSN)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:CHINONSO
Last Name:ATUMAH
Suffix:
Gender:M
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 WATER GARDEN CIRCLE
Mailing Address - Street 2:LITTLE ELM
Mailing Address - City:TEXAS
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5624
Mailing Address - Country:US
Mailing Address - Phone:214-384-2949
Mailing Address - Fax:469-379-2681
Practice Address - Street 1:904 WATER GARDEN CIRCLE
Practice Address - Street 2:LITTLE ELM
Practice Address - City:TEXAS
Practice Address - State:TX
Practice Address - Zip Code:75044-5624
Practice Address - Country:US
Practice Address - Phone:214-384-2949
Practice Address - Fax:469-379-2681
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX823233376K00000X, 163WH0200X, 163WH1000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health